Page, Shawn

Page, Shawn is an sole proprietor health care provider with primary practice located at 609 W 3Rd St , Imboden AR 72434-9099. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Page, Shawn can be contacted via phone (870) 869-1500.

Contact Information

Primary practice address
609 W 3Rd St Imboden AR 72434-9099
Phone: (870) 869-1500
Fax: (870) 869-1505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Arkansas

Profile Details

NPI number 1588969158
LBN Legal business name Page, Shawn
Credentials MHPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2011
Last updated Jan 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588969158 NPPES
Arkansas MEDICAID 169075795

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